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Nurse Practitioner:
doi: 10.1097/01.NPR.0000357247.63128.0e
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PTSD: Know the warning signs

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INSTRUCTIONS PTSD: Know the warning signs

TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/NP.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 38. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is July 31, 2011.

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of The Nurse Practitioner journal, will award 2.6 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.6 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. LWW home study activities are classified for Texas nursing continuing education requirements as Type I.

Your certificate is valid in all states.

PTSD: Know the warning signs

General Purpose: To familiarize the NP with the recognition and treatment of PTSD in primary care settings. Learning Objectives: After reading the preceding article and taking the following test, you will be able to: 1. Discuss the incidence and pathophysiology of PTSD. 2. Describe the symptoms and diagnostic criteria for PTSD. 3. Identify guidelines and options for treating PTSD in primary care settings.

1. PTSD rates in primary care settings are

a. lower than the national rate.

b. the same as the national rate.

c. double the national rate.

d. three times the national rate.

2. Which statement about the incidence of PTSD is true?

a. Women develop PTSD at twice the rate of men.

b. Men develop PTSD at twice the rate of women.

c. Men develop PTSD at three times the rate of women.

d. Men and women develop PTSD at the same rate.

3. All of the following comorbid conditions are often reported with PTSD except

a. diabetes.

b. cardiovascular disease.

c. gastrointestinal distress.

d. urinary incontinence.

4. Patients with PTSD exhibit alterations in biologic functions of the

a. neurologic, endocrine, and integumentary systems.

b. musculoskeletal, genitourinary, and neurologic systems.

c. immunologic, endocrine, and genitourinary systems.

d. neurologic, endocrine, and immune systems.

5. Specific areas of the brain implicated in PTSD include the

a. temporal lobe.

b. amygdala.

c. brain stem.

d. cerebrum.

6. To qualify for a PTSD diagnosis, the precipitating traumatic event must have occurred at least

a. 3 months prior to assessment.

b. 6 months prior to assessment.

c. 9 months prior to assessment.

d. 1 year prior to assessment.

7. Which statement about precipitating events for PTSD is true?

a. A traumatic event must be personally experienced to result in PTSD.

b. Assaultive events in childhood are usually repressed and not likely to precipitate PTSD.

c. Ongoing assaultive events are one of the most predictive of PTSD development.

d. Being diagnosed with a life-threatening illness would not precipitate PTSD.

8. Commonly reported PTSD-related psychological symptoms include

a. excessive fatigue.

b. physical restlessness.

c. loss of appetite.

d. mood swings.

9. For patients who have not responded to previously prescribed medications, any of the following combinations may be effective except

a. mood stabilizer + antidepressant.

b. antidepressant + antipsychotic.

c. antipsychotic + sleep medication.

d. antianxiety medication + antidepressant.

10. Which of the following interventions may result in higher remission rates and symptom reduction?

a. medication intervention alone

b. short-term exposure psychotherapy

c. long-term cognitive behavioral psychotherapy

d. psychotherapy in conjunction with medication intervention

11. The PCP might prescribe valproic acid to

a. improve sleep.

b. stabilize mood.

c. reduce nightmares.

d. reduce depression.

12. The PCP might prescribe sertraline to reduce

a. mood lability.

b. comorbid depression.

c. hyperarousal symptoms.

d. psychotic symptoms.

13. Which of the following drugs may be prescribed to reduce nightmares?

a. venlafaxine

b. risperidone

c. clonidine

d. topiramate

14. Examples of hyperarousal symptoms include all except

a. problems falling or staying asleep.

b. problems concentrating.

c. irritability.

d. sense of foreshortened future.

15. In order for a diagnosis of PTSD to be made, symptoms must have been present for a minimum of

a. 1 month.

b. 2 months.

c. 3 months.

d. 4 months.

16. Which statement about symptoms required for a diagnosis of PTSD is accurate?

a. The patient must have at least three re-experiencing symptoms.

b. Symptoms may be related to drug or alcohol use.

c. Symptoms must have caused impaired functioning.

d. The patient must be able to clearly recall all aspects of the traumatic event.

17. The NP's role in caring for the PTSD patient in primary care may include all of the following except

a. medical management.

b. acute crisis behavioral management.

c. screening for PTSD.

d. diagnosis of PTSD.

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